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Influencer Survey
Concerned Veterans for America – Influencer Prescreen Questionnaire
About You
Your Name
(Required)
First
Last
Your Email Address
(Required)
Email Address
Confirm Email Address
Your Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Your Phone
(Required)
Platform Presence
Instagram Handle
# of Instagram Followers
X/Twitter
# of X/Twitter Followers
Facebook
# of Facebook Followers
YouTube
# of YouTube Followers
TikTok
# of TikTok Followers
Other
# of Other Followers
Audience Overview
Top 3 Audience Locations
Primary Audience Demographics
Veterans
Active Duty
Military Families
General Public
Political / Issue-Focused
Check all that apply
Have you engaged with veteran or military topics before?
Yes
No
If yes, please give examples:
Are you comfortable discussing topics like health care, the economy, and national security?
Yes
No
6. How would you describe your approach to discussing social or political topics online?
Additional Information
Are you currently under contract with other advocacy or policy organizations?
Yes
No
If yes, please list:
Preferred method of compensation:
Flat rate
Per post
Other
